EAS Publisher | Implant Placement in the Esthetic Zone with Porcine Collagen Xenograft and Scaffold Placement: A Case Report

Implant Placement in the Esthetic Zone with Porcine Collagen Xenograft and Scaffold Placement: A Case Report

DOI : https://doi.org/10.36349/easjdom.2025.v07i02.005

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The placement of dental implants in the anterior region is a complex procedure requiring precise planning to achieve optimal aesthetic and functional outcomes. This case study presents a 20-year-old male patient who sought rehabilitation of a missing maxillary central incisor (tooth 21) lost due to trauma. After diagnosing biofilm-induced gingivitis and confirming the absence of tooth 21 through clinical and radiographic examinations, a comprehensive treatment plan was developed. The initial periodontal phase involved biofilm control and mechanical debridement, followed by a re-evaluation after two weeks, confirming improved periodontal health. The surgical phase included guided implant placement using a Straumann Bone Level Tapered implant (3.3mm x 12mm), supported by a bovine xenograft and a porcine collagen scaffold to preserve alveolar volume and enhance tissue regeneration. A provisional restoration was placed to sculpt the emergence profile over four months. The technique resulted in excellent implant stability, preserved peri-implant tissues, and achieved functional and aesthetic rehabilitation, demonstrating the feasibility and effectiveness of this approach.

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